Campos-Juanatey Felix, Fes-Ascanio Enrique, Adamowicz Jan, Castiglione Fabio, Cocci Andrea, Mantica Guglielmo, Rosenbaum Clemens, Verla Wesley, Vetterlein Malte W, Waterloos Marjan, Kluth Luis A
Andrology and Reconstructive Urology Unit, Marques de Valdecilla University Hospital, Institute of Research Valdecilla (IDIVAL), 39011 Santander, Spain.
Urology Unit, Can Misses Hospital, 07800 Ibiza, Spain.
J Clin Med. 2022 Apr 22;11(9):2353. doi: 10.3390/jcm11092353.
Assessment of anterior urethral stricture (US) management of European urology experts is relevant to evaluate the quality of care given to the patients and plan future educational interventions. We assessed the practice patterns of the management of adult male anterior US among reconstructive urology experts from European countries. A 23-question online survey was conducted among European Association of Urology Section of Genito-Urinary Reconstructive Surgeons (ESGURS) members. A total of 88 invitations were sent by email at two different times (May and October 2019). Data were prospectively collected from May 2019 to December 2019. The response rate was 55.6%. Most of the responders were between 50 and 59 y.o. and mainly from University Public Teaching/Academic Hospitals. A total of 73.5% treated ≥20 patients/year with US. Retrograde urethrogram (RUG) was the commonest diagnostic tool, followed by uroflowmetry (UF) +/− post-void residual (PVR). Urethroplasty using grafts was the most frequent treatment (91.8%). Of responders, 55.3% performed >20 urethroplasties/year. Anastomotic urethroplasties were performed by 83.7%, skin flap repairs by 61.2%, perineal urethrostomy by 77.6% and non-transecting techniques by 63.3%. UF was the most common follow-up tool. Most of the responders considered urethroplasty as the primary option when indicated. Male anterior US among ESGURS members are treated mainly using urethroplasty graft procedures. RUG is preferred for diagnosis, and UF for follow-up.
评估欧洲泌尿外科专家对前尿道狭窄（US）的管理，对于评估给予患者的护理质量以及规划未来的教育干预措施具有重要意义。我们评估了欧洲国家重建泌尿外科专家对成年男性前尿道狭窄的管理实践模式。对欧洲泌尿外科学会生殖泌尿重建外科分会（ESGURS）成员进行了一项包含23个问题的在线调查。在两个不同时间（2019年5月和10月）通过电子邮件共发送了88份邀请。数据从2019年5月至2019年12月前瞻性收集。回复率为55.6%。大多数回复者年龄在50至59岁之间，主要来自大学公立教学/学术医院。共有73.5%的回复者每年治疗≥20例尿道狭窄患者。逆行尿道造影（RUG）是最常用的诊断工具，其次是尿流率测定（UF）+/−排尿后残余尿量（PVR）。使用移植物的尿道成形术是最常见的治疗方法（91.8%）。在回复者中，55.3%的人每年进行>20例尿道成形术。83.7%的人进行吻合性尿道成形术，61.2%的人进行皮瓣修复，77.6%的人进行会阴尿道造口术，63.3%的人进行非横断技术。UF是最常用的随访工具。大多数回复者认为在有指征时尿道成形术是主要选择。ESGURS成员中的男性前尿道狭窄主要采用尿道成形术移植物手术治疗。诊断首选RUG，随访首选UF。
